Hormone testing.
DUTCH panels for cortisol patterns, sex hormones, and the metabolites that explain why your labs look 'fine' but you don't feel fine.
Free hormones. Plus the metabolites.
Standard blood draws give a single snapshot of total hormones. DUTCH (Dried Urine Test for Comprehensive Hormones) maps cortisol across the day, captures sex hormones, and shows the metabolites that determine how your body actually uses those hormones.
Why metabolites matter: two patients with identical estrogen levels can have wildly different breast cancer risk depending on which pathway their estrogen is metabolized through. The metabolite tells you what the level can't.
Basic DUTCH, DUTCH Complete, DUTCH Plus (with cortisol awakening response), or DUTCH Cycle Mapping. We match the panel to the question we're trying to answer.
Comprehensive hormone evaluation beyond standard blood panels
Hormone testing evaluates the endocrine system — including cortisol, estrogen, progesterone, testosterone, DHEA, and thyroid hormones — to identify imbalances that drive fatigue, weight resistance, mood disruption, cognitive decline, and sleep dysfunction. Standard serum panels measure circulating hormone levels at a single point in time, which misses diurnal patterns, tissue-level metabolism, and the downstream breakdown products that determine how hormones actually affect the body.
The DUTCH panel, developed by Precision Analytical, collects urine samples across the full day to map the complete hormone-metabolite picture: cortisol awakening response, daily cortisol rhythm, estrogen metabolism pathways (2-OH, 4-OH, 16-OH), progesterone metabolites, androgen levels, and melatonin. This provides clinical data that standard bloodwork does not capture — particularly for patients whose symptoms don't match their 'normal' lab results.
Signs your hormones need attention
If three or more of these sound familiar, hormones are worth investigating: constant fatigue after a full night's sleep; unexplained weight changes with no change in diet or routine; mood swings, irritability, or anxiety that comes out of nowhere; trouble sleeping or waking at 3 AM wired; brain fog where words don't come as easily; and a libido that quietly disappeared.
These aren't just 'getting older' — they're signals. Cortisol patterns, thyroid function, insulin, and sex hormones all influence how you feel day to day, and any one of them being off can produce the whole cluster.
How we test hormones in Jacksonville and Orange Park
We start by choosing the right tool for the question. A blood hormone panel covers estrogen, progesterone, testosterone, cortisol, a full thyroid panel (not just TSH), DHEA, and more — a solid starting point for most patients. The DUTCH dried-urine test is the deep dive, mapping hormone metabolites, cortisol rhythm, and methylation pathways that blood alone can't reveal.
Based on your initial results, we may order targeted follow-up panels — adrenal stress testing, nutrient testing, or thyroid antibodies — to complete the picture. From there the process is simple: test with the right panel, analyze the metabolites and patterns (not just whether you're 'in range'), build a plan of targeted nutrition, specific supplements, and lifestyle change, then retest at 90 days to measure real change objectively.
Who should get their hormones tested
Women in perimenopause or menopause dealing with hot flashes, irregular periods, mood swings, midsection weight gain, and disrupted sleep — testing shows exactly how hormones are shifting and what to do about it. Men with fatigue, loss of muscle mass, brain fog, low motivation, and decreased libido — 'low T' is real, but so are the conditions that mimic it, and testing separates the two.
Anyone with chronic fatigue that hasn't responded to more sleep, better food, and more water is a candidate, because cortisol patterns, thyroid function, and sex hormones all affect energy. And when diet and exercise haven't changed but the scale keeps climbing, hormones — thyroid, insulin, cortisol, estrogen — are the first place to look.
From testing to a plan you can act on
A result you can't use isn't worth much, so the review is where the value is. In a 60-minute results session we walk through your cortisol curves, estrogen pathways, androgen metabolism, and melatonin in plain language — no jargon, no confusing charts left for you to Google. You'll understand what's off, why it matters, and exactly what we're going to do about it.
From there the plan is targeted nutrition, specific supplementation, and lifestyle change matched to your results, then a retest at 90 days to confirm real movement. Not sure whether testing is even the right step? We offer a free hormone consultation to help you figure out the right next move, with no obligation, at our Jacksonville or Orange Park office.